TEST BANK For Health Assessment for Nursing Practice, 7th Edition by Wilson, Verified Chapters 1 - 24, Complete Newest Version [2025!!!]

TEST BANK
v




Health Assessment for Nursing Practice
v v v v v




v 7th Edition by Wilson Chapter 1 - 24
v v v v v v v

,TABLE OF CONTENTS v v v




Unit I: Foundations for Health Assessment
v v v v v




1. Introduction to Health Assessment v v v




2. Interviewing Patients to Obtain a Health History v v v v v v




3. Techniques and Equipment for Physical Assessment v v v v v




4. General Inspection and Measurement of Vital Signs
v v v v v v




5. Ethnic, Cultural, and Spiritual Considerations
v v v v




6. Pain Assessment
v




7. Mental Health and Abusive Behavior Assessment
v v v v v




8. Nutritional Assessment v




Unit II: Health Assessment of the Adult
v v v v v v




9. Skin, Hair, and Nails
v v v




10. Head, Eyes, Ears, Nose, and Throat
v v v v v




11. Lungs and Respiratory Systemv v v




12. Heart and Peripheral Vascular System
v v v v




13. Abdomen and Gastrointestinal System v v v




14. Musculoskeletal System v




15. Neurologic System v




16. Breasts and Axillae v v




17. Reproductive System and the Perineum v v v v




Unit III: Health Assessment Across the Life Span
v v v v v v v




18. Developmental Assessment Throughout the Life Span v v v v v




19. Assessment of the Infant, Child, and Adolescent v v v v v v




20. Assessment of the Pregnant Patient v v v v




21. Assessment of the Older Adult v v v v




Unit IV: Synthesis and Application of Health Assessment
v v v v v v v




22. Conducting a Head-to-Toe Examination v v v




23. Documenting the Head-to-Toe Health Assessment v v v v




24. Adapting Health Assessment v v




Chapter 01: Introduction to Health Assessment
v v v v v

,MULTIPLE CHOICE v




1. A patient comes to the emergency department and tells the triage nurse that
v v v v v v v v v v v v


v heis “having a heart attack.” What is the nurse’s top priority at this time?
v v v v v v v v v v v v v


a. Determine the patient’s personal data and v v v v v


insurance coverage. v v



b. Ask the patient to take a seat in the waiting
v v v v v v v v v


room until his name is called.
v v v v v v



c. Request that a nurse collect data for v v v v v v


acomprehensive history. v



d. Ask a nurse to start a focused assessment
v v v v v v v


of this patient now.
v v v



ANSWER: D v


The nurse needs to begin an assessment as soon as possible that is focused on this patient’s
v v v v v v v v v v v v v v v v


cardiovascular system. The type of health assessment performed by the nurse is also driven
v v v v v v v v v v v v v v


by patient need. Personal data and insurance information will be obtained, but in this
v v v v v v v v v v v v v v


situation, these data can wait until after the patient is assessed. Based also on Maslow’s
v v v v v v v v v v v v v v v


hierarchy of needs, physiologic needs take precedence. Rather than asking the patient to
v v v v v v v v v v v v v


wait, the nurse needs to begin data collection, such as vital signs, immediately to determine
v v v v v v v v v v v v v v v


the patient’s health status. Complications can be prevented if an immediate assessment is
v v v v v v v v v v v v v


made to analyze the patient’s symptoms. A comprehensive history is not indicated in this
v v v v v v v v v v v v v v


situation at this time. Some subjective data will be collected, such as allergies and medical
v v v v v v v v v v v v v v v


history related to cardiovascular disease. Eyes, ears, or a complete musculoskeletal or
v v v v v v v v v v v v


mental health assessment is not a priority at this time.
v v v v v v v v v v




DIF: Cognitive Level: Apply
v REF: Box 1-3 | p. 3 v v v v v v v


TOP: Nursing Process: Assessment
v v v v


MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care:Establishing
v v v v v v v v v v v


vPriorities

2. Which situation illustrates a screening assessment?
v v v v v


a. A patient visits an obstetric clinic for the first v v v v v v v v


time and the nurse conducts a detailedhistory v v v v v v


and physical examination. v v v



b. A hospital sponsors a health fair at a
v v v v v v v


localmall and provides cholesterol and v v v v


vblood pressure checks to mall patrons. v v v v v



c. The nurse in an urgent care center checks
v v v v v v v


the vital signs of a patient who is
v v v v v v v


vcomplaining of leg pain. v v v

, d. A patient newly diagnosed with
v v v v


diabetesmellitus comes to test his fasting v v v v v


blood glucose level.
v v v



ANSWER: B v


A health fair at a local mall that provides cholesterol and blood pressure checks is an
v v v v v v v v v v v v v v v


example of a screening assessment focused on disease detection. A detailed history and
v v v v v v v v v v v v v


physical examination conducted during a first-time visit to an obstetric clinic is an exampleof
v v v v v v v v v v v v v v


a comprehensive assessment. Assessing a patient complaining of leg pain in the triage area
v v v v v v v v v v v v v v


of an urgent care center is an example of a problem-based/focused assessment. A
v v v v v v v v v v v v v


patient’s return appointment 1 month after today’s office visit to report fasting blood
v v v v v v v v v v v v v


glucose levels is an example of an episodic or follow-up assessment.
v v v v v v v v v v v




DIF: Cognitive Level: Understand
v REF: Box 1-3 | p. 3 v v v v v v v


TOP: Nursing Process: Assessment
v v v v


MSC: NCLEX Patient Needs: Health Promotion and Maintenance: Health Screening
v v v v v v v v v




3. For which person is a screening assessment indicated?
v v v v v v v


a. The person who had abdominal surgery v v v v v


yesterday
b. The person who is unaware of his high
v v v v v v v


serum glucose levels
v v v



c. The person who is being admitted to a
v v v v v v v


long-term care facility v v



d. The person who is beginning rehabilitation
v v v v v


after a knee replacement v v v



ANSWER: B v


A screening assessment is performed for the purpose of disease detection. In this case this
v v v v v v v v v v v v v v


person may have diabetes mellitus. A shift assessment is most appropriate for the person
v v v v v v v v v v v v v v


who is recovering in the hospital from surgery. A comprehensive assessment is performed
v v v v v v v v v v v v v


during admission to a facility to obtain a detailed history and complete physical
v v v v v v v v v v v v v


examination. An episodic or follow-up assessment is performed after knee replacement to
v v v v v v v v v v v v


evaluate the outcome of the procedure.
v v v v v v




DIF: Cognitive Level: Understand
v REF: Box 1-3 | p. 3 v v v v v v v


TOP: Nursing Process: Assessment
v v v v


MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care:Establishing
v v v v v v v v v v v


vPriorities

4. For which person is a shift assessment indicated?
v v v v v v v


a. The person who had abdominal surgery v v v v v


yesterday
b. The person who is unaware of his high
v v v v v v v


serum glucose levels v v



c. The person who is being admitted to a
v v v v v v v


long-term care facility v v



d. The person who is beginning rehabilitation
v v v v v


after a knee replacement v v v



ANSWER: A v


A shift assessment is most appropriate for the person who is recovering in the hospital from
v v v v v v v v v v v v v v v


surgery. A screening assessment is performed for the purpose of disease detection, in this
v v v v v v v v v v v v v v


case diabetes mellitus. A comprehensive assessment is performed during admission to a
v v v v v v v v v v v v